Individual
STEFAN DOMENIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 436-5110
Mailing address
45 POINTE PL, DOVER, NH 03820-4769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
084242-21
NH
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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